SH&E Work Method Statement Concrete Cutting & Drilling Excavation Concrete Place and... · SH&E...

Fast Cut Pty Ltd Job Safety & Environmental Analysis/Safe Work Method Statement

013 Excavation Concrete Place and Finish & Concrete Place and Finish Version 4 Created July 2017

Review Date: July 2018 of 20

SH&E Work Method Statement Concrete Cutting & Drilling Fast Cut Qld Pty Ltd, 91 Basalt St, GEEBUNG 4034 ABN 45 081 359 613

Phone: 07 3265 6537 Mobile: 0411 756 719

OHS-FRM-100

Rev 5 (07/17)

Page 1

SH&EWMS Details F-C-QLD- 013

Brief Description of Work Activity: Excavation & Concrete Place and Finish

Location: Date:

Employer/Contractor: Fast Cut Qld Pty Ltd ACN: 45 081 359 613 Date to be Reviewed:

July 2018

Personnel Responsible for Monitoring this Activity:

SITE SUPERVISOR

Codes of Practice / Standards Consulted: These must be complied with.

QLD WORKPLACE HEALTH AND SAFETY ACT 1995

QLD WORKPLACE HEALTH AND SAFETY REGULATIONS 2008

PLANT CODE OF PRACTICE

RISK MANAGEMENT CODE OF PRACTICE

ENVIRIONMENTAL PROTECTION ACT 1994

ENVIRONMENTAL PROTECTION REGULATION 1998

ENVIRONMENTAL PROTECTION WATER, NOISE, AIR WASTE POLICIES

MANUAL HANDLING CODE OF PRACTICE 2010

EQUIPMENT, REFER TO OPERATOR MANUAL.

Plant and Equipment Required for this Activity:

BOBCAT/EXCAVATOR

In the event of an emergency contact head contractor/ principal contractor:


013 Excavation Concrete Place and Finish Version 5 Created on July 2017 Review Date: July 2018 of 20

Details of Maintenance Checks Required for this Activity:

MACHINE AND VEHICLES- VISUAL INSPECTION PRIOR TO USE AND IN ACCORDANCE WITH

MANUFACTURER’S INSTRUCTIONS AND RECOMMENDATIONS.

MACHINE AND VEHICLES-SERVICING AND MAINTENANCE AS PER SUPPLIER’S INSTRUCTIONS

AND RELEVANT AUSTRALIAN STANDARDS.

Materials Used:

UNLEADED PETROL / DIESEL / PRE-MIXED CONCRETE / CURING OIL

MSDS Required? (Yes / No) YES – UNLEADED PETROL / DIESEL / PRE-MIXED CONCRETE / CURING OIL

Personnel Qualifications Required for this Activity: Relevant state certification for task has been undertaken or plant being operated

Excavator Competency, Bobcat Competency

Specific Training Required for this Activity: All personnel to have completed a Site Induction. Must be trained in this SH&EWMS and have all relevant certification for this task.

GENERAL SAFETY INDUCTION TRAINING (CONSTRUCTION INDUSTRY)

SITE SPECIFIC INDUCTION (AS REQUIRED) CERTIFICATE OF COMPETANCY FOR PRESCRIBED WORKS (AS REQUIRED)

Personnel consulted on development of SH&EWMS:

Name: Signature: Name: Signature:

Or accepted by Safety Representative name: Signature: Date:



ACKNOWLEDGEMENT* *Signatures must be obtained prior to the commencement of work. Obtain signatures in the order indicated.

The hierarchy of controls needs to be considered when identifying control measures. The highest level of control should be implemented wherever reasonably practicable.

1. Subcontractor / Work Supervisor:

Signature: Date:

2. Accepted by:

Signature: Date:

3. Accepted by a member of Safety Team / Environmental team:

IF REQUIRED Signature: Date:

Review and Corrective Actions: SH&EWMS will be reviewed once a week by the contractor and/or subcontractor using the Task Observation sheet to ensure the work is being carried out to the statement, corrective action will be noted which are passed to the Supervisor/Foreman to carry out remedial work for close out. If a failure is identified in the SH&EWMS, works will stop, the SH&EWMS will be amended and the changes communicated to the workforce.



RISK ASSESSMENT

Step 1 – Determine Consequence (Impact) ( C )

I Consequence (Impact) Table

Impact band Health & Safety Environment

& Heritage Reputation

Substantial

(5)

Fatal Incident

(Class 1)

Permanent

widespread

ecological

damage

International

negative media

coverage. Loss of

business from key

sector.

Major

(4)

Permanent

Injury

(Class 1)

Damage, which

permanently alters a

person’s future (e.g.

quadriplegia, paraplegia,

amputation of a limb).

Heavy

ecological

damage, costly

restoration

Sustained national

negative media

coverage. Loss of

long term key

client.

Moderate

(3)

Lost Time

Injury

(Class 2)

Damage, which

temporarily alters a

person’s future.

Major but

recoverable

ecological

damage

Regional/short

negative media

coverage. Loss of

Client / project.

Minor

(2

Medical

Treatment

(Class 2)

Damage, which

temporarily

inconveniences a person

Limited but

medium term

damage

Local negative

media coverage.

Site or project

problem

Negligible

(1)

First Aid

Treatment

(Class 3)

Actual injury which

requires no treatment or

simple first aid

Short term

damage

Brief local negative

media coverage.

Step 2 – Determine Probability

(Likelihood) of Event Occurring ( P ) Probability (Likelihood) Table

Probability

band Description

Almost

Certain

(5)

The threat can

be expected to

occur 75% -

99%

Common /

Frequent

Occurrence

More than 1

event per

month

Likely

(4)

The threat will

quite

commonly

occur 50% -

75%

Is known to

occur or “It has

happened

regularly"

More than 1

event per

year

Possible

(3)

The threat may

occur

occasionally

25% - 50%

Could occur or

“I’ve heard of

it happening”

1 event per

1 to 10

years

Unlikely

(2)

The threat

could

infrequently

occur 10% -

25%

Not likely to

occur very

often

1 event per

10 to 100

years

Rare

(1)

The threat may

occur in

exceptional

circumstances

0% - 10%

- Conceivable

but only in

exceptional

circumstances

Less than 1

event per

100 years

Step 3 – Assess Risk Level ( R ) Determine the risk level

by combining Consequence with Probability

Risk

Assessment

Matrix

Consequence (Impact) Table

Negligible

(1)

Minor

(2)

Moderate

(3)

Major

(4)

Substantial

(5)

Pro

ba

bil

ity

(L

ikel

iho

od

)

Almost

Certain

(5)

Low

(5)

Moderate

(10)

Very

High

(18)

Extreme

(23) Extreme (25)

Likely

(4)

Low

(4)

Moderate

(9)

Very

High

(17)

Very

High

(20)

Extreme (24)

Possible

(3)

Low

(3)

Moderate

(8)

High

(13)

Very

High

(19)

Very

High

(22)

Unlikely

(2)

Low

(2)

Low

(7)

High

(12)

High

(15)

Very

High

(21)

Rare

(1)

Low

(1)

Low

(6)

Moderate

(11)

High

(14)

High

(16)

Hierarchy of Controls

Highest Level of Control Lowest Level of Control

Elimination Substitution Engineering Administration Personal Protective Equipment



Consequence 5 = Fatality, 4 = Permanent Injury, 3 = Medical Injury, 2 = Minor, 1= First Aid Injury Probability 5 = Almost Certain, 4 = Likely, 3 = Possible, 2 = Unlikely, 1 = Rare

Highest Level of Control Lowest Level of Control

Elimination Substitution Engineering Administration Personal Protective Equipment

Activity Break the job down into steps

Potential Safety and Environmental Hazards What can go wrong

Risk Rating Control Measures Residual Risk Rating

Person Responsible To ensure management method

applied

C X P = R C X P = R

EXCAVATOR (LE) /BOBCAT

(LS)

MOVING PLANT, COLLISION

WITH PERSONS.

5 3 22 CONSULT WITH HEAD CONTRACTOR

TO ENSURE OTHER WORKERS ON

SITE ARE AWARE OF WORK AREA/S.

ACCESS TO WORK AREA RESTRICTED

WITH BARRICADES AND SIGNS.

SPOTTER USED TO DIRECT VEHICLE

FOR WORK IN AREAS WHERE THERE

ARE PERSONNEL AND OTHER

VEHICLES WORKING. WARNING

SIGNALS (FLASHING LIGHTS AND/OR

BEEPERS) WHERE FITTED, ARE

OPERATIVE AND WORKING. VEHICLE

NOT TO BE REVERSED IF IT IS

PRACTICLE TO DRIVE FORWARDS.

OPERATOR WILL CHECK BEHIND

MACHINE BEFORE REVERSING.

5 2 21 SUPERVISOR


(LS)

NOISE/ HEARING DAMAGE

TO OPERATORS AND

OTHERS.

4 2 15 OPERATOR TO WEAR APPROPRIATE

PPE (EARMUFFS/PLUGS) WHEN

MACHINE IS RUNNING. ACCESS TO

WORK AREA RESTRICTED WITH

BARRICADES AND SIGNS.

4 1 1 4 SUPERVISOR







applied

C X P = R C X P = R


(LS)

MOVING MACHINERY/

PERSONS BEING STRUCK

BY MOVING PARTS OF

MACHINE.

5 3 22 SPOTTER USED TO MONITOR WORK

AREA AND ALERT OPERATOR AND

OTHER PERSONS OF THE MACHINES

WORKING RADIUS. ACCESS TO

WORK AREA RESTRICTED WITH

BARRICADES AND SIGNS. OTHER

PERSONS ON SITE MADE AWARE OF

WORK AREA AND INSTRUCTED TO

KEEP CLEAR.

5 2 21 SUPERVISOR

CONTACTING

UNDERGROUND

SERVICES/

ELECTROCUTION; GAS

LEAK AND/OR EXPLOSION;

SEWERAGE MAIN LINE

RUPTURE; DAMAGE TO

TELECOMS LINE.

5 3 22 THE INFORMATION ABOUT

UNDERGROUND SERVICES TO BE

OBTAINED FROM HEAD

CONTRACTOR BEFORE STARTING

WORK. (DIAL A DIG TO BE

COMPLETED)

5 1 16 SUPERVISOR

USING CONCRETE PUMP/

PLANT/ TRUCK/ VEHICLE

FOR TRAVEL,MATERIALS

DELIVERIES ETC

(AS REQUIRED)

COLLSION WITH OTHER

CONSTRUCTION

TRAFFIC/PERSONNEL AND

OTHER ROAD/TRAFFIC

INCIDENTS

5 3 19 WILL ENSURE THAT WORKERS ARE

AWARE THAT GENERAL ROAD

RULES APPLY ON SITE AND OF ANY

PRINCIPAL CONTRACTOR SPECIFIC

ROAD RULES. REQUIRE THAT WHEN

EMPLOYEES ARE DRIVING THROUGH

EXISTING WORK AREAS, DRIVERS

TO DRIVE TO THE ROAD

CONDITIONS AND OBEY AND ANY

LOWERED SPEED LIMITS.

3 3 8 SUPERVISOR/

PLANT OPERATOR/

ALL DRIVERS







applied

C X P = R C X P = R

EMPLOYEES ARE REQUIRE TO WEAR

SEAT BELTS WHEN TRAVELLING IN

VEHICLES/PLANT MOBILE.

WILL REQUIRE THAT THEIR DRIVERS

TO OBEY ROAD SIGNS.

WILL REQUIRE THAT THEIR DRIVERS

REMAIN AWARE OF ROAD

CONDITIONS AND VEHICLE/PLANT

PERFORMANCE.

WILL REQUIRE THAT THEIR

DELIVERY DRIVERS ARE DIRECTED

BY SITE PERSONNEL AND BE MADE

AWARE OF THIS PROCEDURE. IF THE

DRIVER LOSES SIGHT OF THIS

PERSON, THE REVERSING

OPERATION MUST BE CEASED UNTIL

DIRECT VISUAL CONTACT IS

REGAINED (EG. TRUCKS REVERSING

ONTO CONCRETE PUMPS)

WILL IMPLEMENT A TRAFFIC

CONTROL SYSTEM TO PROTECT

OTHER WORKERS AND MEMBERS OF

THE PUBLIC.







applied

C X P = R C X P = R

USING OF ELECTRICAL

TOOLS AND EQUIPMENT

ELECTRIC SHOCK 5 5 23 ENSURE RCD’S FITTED TO ALL

ELECTRICAL SUPPLY OUTLETS. THAT

IS, RCD’S (SAFETYPACK) ARE TO BE

IN PLACE ON ALL FINAL SUB

CIRCUITS. (INCLUDING PORTABLE

GENERATORS).

ALL ELECTRICAL EQUIPMENT TO BE

CHECKED AND TAGGED BY A

CERTIFIED ELECTRICAL WORKER

EVERY 3 MONTHS.

LEADS OR FLEXIBLE POWER CABLES

SHOULD HAVE NO VISIBLE DAMAGE

TO THE PROTECTIVE COVER.

LEADS WILL BE KEPT A MINIMUM OF 1

METRE ABOVE GROUND WHEN IN

USE, TO PROTECT AGAINST

MECHANICAL DAMAGE.

LEADS WILL BE CHECKED EACH DAY

PRIOR TO USE.

ENSURE LEADS WILL TAKE

ELECTRICITY FROM THE NEAREST

POINT OF SUPPLY AND BE CONFINED

4 4 10 DIRECTLY

CONTROLLED BY THE

WORKERS.

MONITORED

REVIEWED AND

PERIODICALLY

REPORTED ON BY THE

SUPERVISOR. ITEMS

COVERED IN

PROGRAM OF

TOOLBOX TALKS.







applied

C X P = R C X P = R

TO THE FLOOR OF ORIGIN.

FORMWORK

CONSTRUCTION

FAILURE OF FORMWORK

TO WITHSTAND APPLIED

LOADS

OTHER PERSONAL

INJURIES

2

2

2

2

6

6

FORMWORK IS DESIGNED BY A

COMPETENT PERSON.

WILL ENSURE THAT THEIR

PERSONNEL WHO ARE

CONSTRUCTING AND PLACING

FROMWORK ARE AWARE OF DESIGN

REQUIREMENTS AND ANY SPECIFIC

REQUIREMENTS OF THE STRUCTURE

BEING FORMED.

WILL ENSURE THAT APPROPRIATE

PERSONAL PROTECTIVE EQUIPMENT

TO BE WORN WHEN USING POWER

SAWS.

2

2

2

2

1

1

SUPERVISOR AND

FORWORKERS

LOADING OF FORMWORK COLLAPSE OF

FORMWORK, FALLING

OBJECTS

3 2 6 CONSTRUCTED TO BE CAPABLE OF

CARRYING ANY LIVE LOADS AND

CONSTRUCTION LOADS WITH

ADDITIONAL ATTENTION BEING PAID

TO THE PROPPING AND BRACING.

3 2 1 SUPERVISOR







applied

C X P = R C X P = R

WILL ENSURE THAT ALL FORMWORK

INCLUDING PROPPING AND BRACING

IS INSPECTED AND CERTIFIED PRIOR

TO POURING.

ENSURE THAT SPOTTERS ARE

POSITIONED TO EFFECTIVELY CHECK

THE STRUCTURE DURING THE

PLACEMENT OF CONCRETE.

STRIPPING OF FORMWORK FALLING OBJECTS 1 1 1 WILL ENSURE THAT PROPPING AND

BRACING IS NOT REMOVED WITHOUT

APPROVAL.

STRIPPING OF FORMWORK IS TO BE

UNDERTAKEN IN AN APPROVED AND

METHODICAL SEQUENCE.

TECHNIQUES INVOLVING THE DROP-

STRIPPING OF FORMWORK WILL NOT

BE EMPOLYED.

WILL ENSURE ENGINEER

CERTIFICATION IS OBTAINED TO

CONFIRM THE MINIMUM STRIPPING

TIMES HAVE BEEN CONFORMED

WITH.

1 1 1 SUPERVISOR/

FORMWORKER







applied

C X P = R C X P = R

STACKING AND HEIGHT

RESTRICTIONS FOR

FORMWORK

FALLING OBJECTS 2 2 1 ENSURE MATERIALS ARE STACKED

IN A MANNER THAT AVOIDS

COLLAPSE, TIPPING, BLOWING AWAY

ETC.

WHERE SHUTTERS ARE STACKED

VERTICALLY. A RISKS ASSESSMENT

IS TO BE UNDERTAKEN AND

APPROPRIATE CONTROL MEASURES

PUT IN THE PLACE TO ENSURE THAT

THE STACKED SHUTTERS REMAIN

STABLE.

1 1 1 SUPERVISOR,

FORMWORKERS AND

DOGGER

BACK PROPPING FALLING OBJECTS 1 1 1 ENSURE THAT ALL BACK PROPPING

IS APPROVED BY A COMPETENT

PERSON PRIOR TO THE REMOVAL OF

SURROUNDING PROPS AND

BRACING.

1 1 1 SUPERVISOR

CHEMICALS USED IN

FORMWORK

FLAMMABLE LIQUIDS AND

VAPOURS

3 2 6 ENSURE THAT STOCKS OF THESE

CHEMICALS WILL BE KEPT TO A

MINIMUM

ENSURE THESE CHEMICALS ARE

STORED APPROPRIATELY ON SITE

AND THAT CORRECT CONTAINERS

ARE USED.

3 2 1 SUPERVISOR







applied

C X P = R C X P = R

DISPOSAL OF RUBBISH

AND OTHER WASTE

MATERIALS

WASTE MANAGEMENT AND

POSSIBLE BREACHES OF

THE EPA REQUIREMENTS

1 1 1 FROM WILL ENSURE RUBBISH

REMOVED AS WORK PROCEEDS

FOREMAN WILL ENSURE THAT

RUBBISH TO BE PLACED IN BINS

PROVIDED

WILL ENSURE THAT EXCESS

CONCRETE OR MOTAR TO BE

REMOVED AND PLACED AND PLACED

IN APPROPRIATE BINS

FOREMAN WILL BE ENSURE THAT NO

CEMENT SLURRY IS TO ENTER ANY

WATERWAY COURSES OR INLETS.

FOREMAN WILL ENSURE THAT IT

WILL COVER ALL ENVIRONMENTAL

CONTROL ITEMS IN PROGRAM OF

TOOLBOX TALKS.

1 1 1 DIRECTLY

CONTROLLED,

MONITORED

REVIEWED AND

PERIODICALLY

REPORTED ON BY

SCAFFOLDING

INSTALLER AND THE

SUPERVISOR

WASHING OR CLEANING

OF CEMENT

CONTAMINATED

EQUIPMENT

WASTE MANAGEMENT AND

POSSIBLE BREACHES OF

THE EPA REQUIREMNETS

1 1 1 FOREMAN WILL ENSURE THAT NO

CEMENT SLURRY TO ENTER

WATERWAY OR DRAINAGE INLETS.

FOREMAN WILL ENSURE THAT ANY

ACCIDENTAL SPILLS ARE REMOVED

AND PLACED IN APPROPRIATE BINS.

1 1 1 DIRECTLY

CONTROLLED,

MONITORED REVIEWED

AND PERIODICALLY

REPORTED ON BY

SCAFFOLDING

INSTALLER AND THE







applied

C X P = R C X P = R

FOREMAN WILL ENSURE THAT IT

WILL COVER ITEMS IN PROGRAM OF

TOOLBOX TALKS.

SUPERVISOR

PLACING OF EDGE FORM

AND FORMWORK

TIMBER PEGS 3 2 12 USE CORRECT PPE WHEN PLACING

TIMBER PEGS. S&R TO ENSURE

APPROPRIATE TRAINING ON USING

SLEDGE HAMMERS.

3 1 11 SUPERVISOR

PLACING OF

REINFORCEMENTS

MOVEMENT OF STEEL

MESH AND BAR.

3 2 12 CONSULT WITH HEAD CONTRACTOR

TO ENSURE OTHER WORKERS ON

SITE ARE AWARE OF WORK AREA/S.

ACCESS TO WORK AREA RESTRICTED

WITH BARRICADES AND SIGNS.

STEEL MOVED WITH MIN TWO

PERSONS. USE CORRECT PPE WHEN

MOVING STEEL MESH & BAR (GLOVES

TO BE WORN).

3 1 11 SUPERVISOR

TYING STEEL MESH AND

BAR.

2 2 7 USE APPROPRIATE TOOLS FOR THE

JOB. TIE REEL USED AT ALL TIMES.

USE CORRECT PPE FOR TYING

STEEL. INSURE RELEVANT MANUAL

HANDLING TECHNIQUES ARE

UTILISED.

2 1 6 SUPERVISOR







applied

C X P = R C X P = R

POURING CONCRETE

SLABS

MOVING PLANT WITHIN

THE WORK AREA.

5 3 22 WARNING SIGNALS (FLASHING

LIGHTS AND BEEPERS) WHERE

FITTED, ARE OPERATIVE AND

WORKING. ACCESS TO WORK AREA

RESTRICTED WITH BARRICADES AND

SIGNS. SPOTTERS USED FOR SMALL

WORK AREAS WHERE OTHER

WORKERS ARE PRESENT.

5 2 21 SUPERVISOR

FINISHING CONCRETE TROWELLING MACHINE 3 2 12 ENSURE RELEVANT TRAINING HAS

BEEN GIVEN TO THE OPERATOR.

OPERATOR TO WEAR APPROPRIATE

PPE (EARMUFFS/ EAR PLUGS) WHEN

EQUIPMENT IS RUNNING. ACCESS

TO WORK AREA RESTRICTED WITH

BARRICADES AND SIGNS.

3 1 11 SUPERVISOR

SCREEDING 2 2 7 ENSURE RELEVANT MANUAL

HANDLING TECHNIQUES ARE

UTILISED. OPERATOR TO WEAR

APPROPRIATE PPE (GLOVES).

2 1 6 SUPERVISOR

HAND TROWELLING 2 2 7 ENSURE RELEVANT TRAINING HAS

BEEN GIVEN TO THE OPERATOR.

OPERATOR TO WEAR APPROPRIATE

PPE. ACCESS TO WORK AREA

RESTRICTED WITH BARRICADES

AND SIGNS.

2 1 6 SUPERVISOR







applied

C X P = R C X P = R

REFUELING

PLANT/EQUIPMENT

SPILLS/CONTACT WITH

WORKER

FIRE/EXPLOSION

2

3

2

3

7

8

MAINTENANCE / REFUELLING TO BE DONE IN DESIGNATED AREAS AWAY FROM OTHER WORK ACTIVITY. ENGINE TO BE SWITCHED OFF BEFORE REFUELING COMMENCES. FIRE EXTINGUISHER TO BE CLOSE BY (FOAM / DRY CHEMICAL). FUEL TO BE STORED IN APPROVED CONTAINERS BUT KEPT OFF SITE; TRANSFER FUEL TO SMALLER CONTAINERS (1L) WHEN REFUELLING SMALL PLANT AND/OR EQUIPMENT. SPILL KIT MATERIAL ON HAND TO SOAK UP SPILLS.(DRIP TRAYS AND BUNDING WHERE REQUIRED). CONTAINERS TO BE FITTED WITH POUR SPOUTS OR USE PUMP TO REFUEL.

MAKE SURE PERSONNEL CHARGED

WITH THE PROCEDURE ARE

FAMILIAR WITH THE UNLEADED

PETROL MSDS

HAVE MSDS FOR FUELS AVAILABLE.

ALLOW ENGINE TO COOL BEFORE

FUELING.

USE A FUNNEL TO AVOID SPILL.

CLEAN UP SPILT FUEL.

EYES – FLUSH EYES WITH COPIOUS

2

3

1

2

6

6

SUPERVISOR







applied

C X P = R C X P = R

AMOUNTS OF WATER.

SKIN – FLUSH SKIN WITH PLENTY OF

WATER. REMOVE CONTAMINATED

WATER.

INHALATION – REMOVE TO FRESH

AIR

INGESTION – DO NOT INDUCE

VOMITTING. OBTAIN MEDICAL

ADVICE IMMEDIATELY.

ARRIVAL ON SITE COLLSIONS WITH OTHER

SITE VEHICLES

UNFAMILAR WITH SITE,

UNSTABLE GROUND

OVERHEAD OBSTACLES

UNDERGROUND SERVICES

PERSONAL INJURY

2 2 7 PARK VEHICLES IN A

SAFE/DESIGNATED AREA.

COMPLETE SITE INDUCTION AND

SITE INSPECTION IMMEDIATELY.

OBEY ALL SITE SAFETY RULES AND

SIGNAGE.

MINIMUM PPE TO BE WORN

INCLUDES HARD HAT, SAFETY

GLASSES, HIGH VIS CLOTHING AND

STEEL CAPPED BOOTS.

2 2 6 DRIVER/OPERATOR

CRANE CREW

DOCUMENTATION IS

PROVIDED ON SITE

FALIURE TO IDENTIFY

CORRECT

SETOUT/LOCATIONS

2 2 7 SHOP DRAWINGS

CERTIFIED BY THE ENGINEER AND

PROVIDED ON SITE. (CURRENT

CONSTRUCTION ISSUE DRAWINGS

CHECKED ON DRAWING REGISTER).

2 1 6 SUPERVISOR



SIGN OFF

We the undersigned, confirm that the SH&EWMS nominated above has been explained and its contents are clearly understood and accepted. We also confirm that our required qualifications to undertake this activity are current. We also clearly understand the controls in this SH&EWMS must be applied as documented; otherwise work is

to cease immediately.

Name Qualification Required for this Activity

Signature Date Time Employer



SWMS INSPECTION SHEET

SH&EWMS Name

Location / Area:

Inspected by: Position:

Signature: Date:

No. Item Finding Comment Date Defect Rectified

1 Site inducted personnel

2 PPE being worn.

3 Falls from height.

4 Certified operators.

5 Trip hazards/house keeping

6 Falling objects.

7 Access/egress.

8 Electrical/generators.

9 Manual handling

10 Cranes/lifting equipment

11 Permits.

12 Access, work platforms.

13 Fire extinguishers.

14 MSDS’s for products used.

15 Barricading/signage.

16 Covering of penetrations

17 Cause Environmental damage.



Findings: Acceptable = ✓ Unacceptable = x Not Applicable = N/A

No. Defects Noted. No. Close out Actions.

All defects closed out: Name. Signed.

A copy will be forwarded to the principal contractor to verify fortnightly inspections.

JSEA/SWMS CHECKLIST

ITEM CHECKLIST CRITERIA COMPLIES Yes or No

01 Does the JSEA/SWMS set out step-by-step all of the activities? Y/N

02 Does the JSEA/SWMS describe how each activity will be carried out? Y/N

03 Does the JSEA/SWMS consider the environment within which the activities are to be undertaken including interfaces with other trades? Y/N

04 Does the JSEA/SWMS identify safety, health and environmental hazards that will/may arise at each stage of the work? Y/N

05 Does the JSEA/SWMS clearly document control measures to be put in place for each hazard that is identified? Y/N

06 Does the JSEA/SWMS describe all plant and equipment that will be used? Y/N

07 Does the JSEA/SWMS identify relevant Standards and Codes of Practice that must be complied with? Y/N

08 Does the JSEA/SWMS identify any pre-start and in –process certifications/authorisations/permits? Y/N

09 Does the JSEA/SWMS specify licensing and qualifications required for personnel (including specific qualifications for specific roles/tasks)? Y/N

10 Does the JSEA/SWMS specify training and/or trialling required to enable the work to be done safely? Y/N

Employee Undertaking Work: Signature: Date:

Reviewed By: Rob East Signature: Date: 5th July 2017

Signed by the Management Representative of Fast Cut QLD Pty Ltd

PRINCIPAL CONTRACTORS COMMENTS:

JSEA/SWMS has been reviewed with no comments

JSEA/SWMS has been reviewed with issues raised with Fast Cut Qld:

Summary of details of issues/comments/rectifications required:



Reviewed by Principal Contractor:

Signature: Date:

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